Organization
TENNESSEE VASCULAR AND THORACIC SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES STITT DRUMMOND III MD (OWNER)
(931) 841-3948
Entity
Organization
Contact information
Practice address
315 NW ATLANTIC ST, TULLAHOMA, TN 37388
(931) 841-3948
(931) 841-3906
Mailing address
PO BOX 1958, TULLAHOMA, TN 37388-1958
(931) 222-4090
(931) 222-4093
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD39435
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4105344
—
TN
05
—
Q022662
—
TN
Enumeration date
09/19/2016
Last updated
07/18/2018
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